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Claims

New Update: As of 5/1/2020, Claim Status can only be obtained through one of our self-service tools.

Sign on or Register to access KP Online Affiliate, or view claim status as a guest user.


Kaiser Permanente Introduces New 2018 Explanation of Payment (EOP) - Frequently Asked Questions*

Electronic Claims Submissions (EDI), Electronic Payments (EFT), and Remits (ERA)

Understand the benefits of Electronic Data Interchange (EDI) for transferring data from one computer system to another without human intervention.

Claims tools (NEW)

Learn more about our Claims tools and partnership.

Claims procedures

Find out how to submit your claims electronically and obtain claims status and claim payment information.

Appeals

If you or a member disagree with the handling of a claim, learn how to appeal a denial of payment or authorization.

Electronic claims status

Look up eligibility and medical claim information for fully-funded and Self-funded members.

ICD-10 information and overview

Find information on Kaiser Permanente's approach to ICD-10 implementation, as well as other useful ICD-10 resources.

View claim status as a guest user

Contracted and non-contracted providers can view their claim status as a guest user without registering. You will be asked to provide key information about a claim in question. In return, you will be able to view claim status information, including the current processing status, and, if paid, the vender and specific payment information. If your claim is not found in the Guest User system, call the phone number listed on the member’s ID card.

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